Application for Treatment

New Patient Forms

Formas de Paciente Nuevo

Please note, the submission of an application does not establish a relationship with any of our experts at Upper Valley Behavioral Health.
You will be notified within one business day if your application has been approved.

With Our Experts

COVID-19

Upper Valley Behavioral Health is committed to the welfare and safety of our clients. In response to the COVID-19 pandemic, we are now offering virtual visits for new and existing clients!

Our virtual visits allow clients access to our board-certified experts for online consultations. By conducting sessions online, we can now address emergency issues in a way that allows patients to social-distance and reduce the risk of exposure to the virus. Rest assured, we utilize HIPAA-compliant software that ensures the safety and privacy of your online consultation. All that is required is a smartphone, tablet, laptop, or computer.